Wireless cellular systems and methods for prescription drug discounts and therapy delivery

ABSTRACT

A method of delivering a prescription drug discount via a cellular message on a cellular carrier network includes capturing a prescription token in a memory of a cellular device. The cellular device processes the prescription token to sending a message artifact as a cellular message, such as SMS message, over a carrier network to a discount service computer. The discount service computer receives and parses the message artifact, and reconstructs the prescription token. The discount service computer includes an eligibility database of prescription drug patients, cell numbers, and prescription drug identities. The prescription token is matched to a record of the eligibility database, if any exist, and otherwise a corresponding record is generated for the prescription token. The discount service computer accesses a discount database to retrieve a discount coupon relevant to the record of the eligibility database and the prescription drug identity from the prescription token. The discount coupon is sent by response message to the cellular device as a text message. The cellular device receives the text message and provides the message to a pharmacy, together with a prescription script for a prescription drug of the prescription drug identity. The pharmacy communicates the script to a benefit processor. The benefit processor adjudicates an insured coverage claim related to the script and the patient per the script. The benefit processor communicates a result of the adjudication to the pharmacy. The pharmacy discounts pricing for the prescription to the patient by a discount per the discount coupon, if insurance coverage is not applicable to the prescription, and per the discount coupon and coverage benefit, if insurance coverage is applicable. The benefit processor communicates the prescription transaction to the discount service computer, and the eligibility database is updated accordingly. The discount service computer sends additional text messages to the cell phone regarding prescription refill discounts and other advertising.

TECHNICAL FIELD

The present disclosure relates generally to communication networks andwireless devices for delivery of prescription drugs and drug therapy,and, more particularly, relates to wireless and networked communicationdevices, including, but not limited to, cellular telephones, fordelivery of prescription drugs, medication therapy management, patientdiscounts, and advertising.

BACKGROUND

Conventionally, a medical patient obtains a written script for aprescription drug from a physician to address the patient's malady. Thepatient carries the written script to a pharmacy. The pharmacy fills theprescription. The patient makes payment and picks-up the prescriptiondrug at the pharmacy. The price paid by the patient is the pharmacy'scharge for the drug less any covered benefit under the patient'sinsurance. The pharmacy collects the covered benefit amount from theinsurer. Streamline of this conventional prescription drug deliveryprocess would benefit patients, and also pharmacies and other healthproviders.

In this conventional prescription drug delivery scheme, the pharmacisttypically instructs the patient in proper use of the drug at point ofpick-up by the patient at the pharmacy. During the patient's visit tothe physician's office, the physician may also provide the patient withdrug use and protocol instruction. These instructions (whether frompharmacist and/or physician) may be verbal, written, or combination.Typical instructions may include proper drug use procedures, regimenschedule, importance of regimen compliance, and others. After thepatient's contact with the pharmacist and physician, the patient mustretain and recollect the instructions, in whatever form received. Often,the patient's only next opportunity to confirm the instructions is asubsequent face-to-face contact with the physician or pharmacist, suchas through a later physician office or pharmacy visit for a medicationcheck-up or prescription refill.

Physicians, pharmacies, insurers, and other pharmaceutical and healthproviders are interested in targeting helpful and applicable informationto prescription drug patients. Time and access constraints of theseproviders limit opportunity for disseminating such information to thepatient. Benefit insurers, for example, wish to encourage patientcompliance to drug therapy regimen and to promote healthy practices.Physicians desire greater access to patients for increased awareness ofpatient efforts and concerns during drug therapy, such as would assistimproving and varying drug treatment as appropriate. Pharmaciessimilarly wish to assist patients by providing helpful targetedinformation, addressing patient questions, and promoting health andmarketing initiatives.

Patients desire access to uniquely targeted information to gainknowledge about specific prescription drugs and options and to assistthe patient's medication therapy, proper drug usage, and healthpractices. Patient access to credible sources of information hasconventionally been limited because periods of the patient's directcontact with physicians, pharmacists and other health providers areoften time constrained. Patients, moreover, may not have ability toassess credibility of information that may be available from third partysources. Additionally, even where the patient has been provided crediblerelevant information (such as by physician, pharmacy or other reliablesource), patients may misplace such information or tend to disregard theinformation if not readily and easily accessible. Targeted drug andhealth information, uniquely relevant to the patient and applicableprescription, would be beneficial if readily accessible to patients.

Cellular telephones and other wireless devices are a prevalent mode ofcommunication for many consumers. These consumers include prescriptiondrug patients and patient caregivers. Cellular devices can providefeatures for voice calls, messaging, calendar, scheduling, Internetaccess, and other operations. Cellular telephones, for example, inaddition to voice call capabilities, often have short message service(SMS), multimedia message service (MMS), enhanced message service (EMS),wireless access protocol service (WAP), and/or other messaging featuresfor sending and receiving mobile text and multimedia communications.

It would, therefore, be desirable to provide new and improved systemsand methods for communicating targeted uniquely relevant information andstreamlining prescription drug delivery to prescription drug patients.It would also be desirable to limit burden to patients, as well as tophysicians, pharmacies, insurers and other providers, of prescriptiondrug delivery, drug cost and drug therapy management.

SUMMARY

An embodiment of the invention is a method of delivering a prescriptiondrug discount via a cellular message on a cellular carrier network. Themethod includes capturing a prescription token in a memory of a cellularcommunication device. The prescription token includes at least oneinstructor, including a prescription drug identity, a prescription drugpatient identity, a cell phone number related to the prescription drugpatient identity, and at least one destination locator for a servercomputer communicatively connected to the cellular carrier network. Themethod also includes processing a message artifact of the prescriptiontoken by the cellular communication device for a destination address ofa server computer communicatively accessible by the cellular carriernetwork, transmitting the message artifact by the cellular communicationdevice over the cellular carrier network, receiving the message artifactby the server computer at the destination address, parsing the messageartifact by the server computer, and generating the prescription tokenby the server computer. The method further includes looking-up theprescription token, or portions, in an eligibility database connected tothe server computer to find an eligibility record related to theprescription token, retrieving the eligibility record, looking-up theeligibility record, or portions, in a discount database to obtain adiscount artifact related to the prescription drug identity for theprescription token, retrieving the discount artifact, processing thediscount artifact by the server computer to generate a discount coupon,and sending the discount coupon to the cellular communication device onthe cellular carrier network. The method also includes receiving thediscount coupon by the cellular communication device from the cellularcarrier network and presenting the discount coupon, together with a drugprescription per the prescription drug identity, to a pharmacy gateway.Additionally, the method includes communicating the drug prescription,together with the prescription drug patient identity, to a benefitprocessor, determining a coverage benefit by the benefit processor,communicating the coverage benefit to the pharmacy gateway, andcommunicating an eligibility update notification to the server computerby the benefit processor. Furthermore, the method includes receiving theeligibility update notification by the server computer, updating theeligibility record of the eligibility database in response to theeligibility update notification, processing the eligibility updatenotification to derive a prescription refill date related to theeligibility record, and storing the prescription refill date in theeligibility record.

In further embodiments, the method includes, if the step of looking-upthe prescription token fails because the eligibility record is not inthe eligibility database, prior to the step of retrieving theeligibility record, generating an eligibility record by the eligibilitydatabase based on the prescription token.

In yet further embodiments, the updating of the method includesprocessing the eligibility update notification by the benefit processorto revise the eligibility record.

In other further embodiments, the coverage benefit is selected from thegroup consisting of: an insured coverage and a non-insured coverage; andthe method includes, if an insured coverage is the coverage benefit,determining by the pharmacy gateway a first discount per the coveragebenefit and the discount coupon, for the drug prescription, and, if anon-insured coverage is the coverage benefit, determining by thepharmacy gateway a second discount per solely the discount coupon, forthe drug prescription.

In additional embodiments, the eligibility database comprises aplurality of eligibility records, and each of the eligibility recordsincludes the prescription drug identity, the drug patient identity, theprescription refill date, and the cell number relationally linked to thedrug patient identity, and the method includes filtering the pluralityof the eligibility records at a date in time, based on the date in timeand relation to the prescription refill date of the eligibility records,retrieving a subset of the plurality for the prescription drug identity,the prescription refill date relative to the date in time, and the cellnumber relationally linked to the respective drug patient identity andthe prescription drug identity, looking-up the prescription drugidentity of the subset in the discount database to obtain a respectivediscount coupon for each prescription drug identity of the subset,retrieving the respective discount coupon, sending the respectivediscount coupon to the cell number relationally linked to the applicabledrug patient identity and the drug identity of the relevant eligibilityrecord(s), and repeating for the entire subset and all prescription drugidentities of the subset.

Another embodiment of the invention is a system for delivering aprescription drug discount via a cellular message of a carrier network.The system includes a prescription script and a cell phone relationallyconnected to the prescription script. The cell phone includes aprocessor, a radio connected to the processor, a phone numbercommunicatively accessible on the carrier network, a prescription tokenof the cell phone communicated by the radio of the cell phone on thecarrier network, and an output interface of the cell phone connected tothe processor. A server computer of the system is communicativelyconnected to the cell phone via the carrier network, to receive theprescription token. The system also includes an eligibility database anda discount database of the server computer, and the server computercontrols the eligibility database and the discount database in responseto receiving the prescription token. The system further includes adiscount coupon of the discount database, communicated by the servercomputer to the cell phone at the phone number via the carrier network,in response to receiving the prescription token. A pharmacy gateway ofthe system is communicatively connected to the cell phone to receive thediscount coupon from the cell phone and the prescription script. Abenefit processor of the system is communicatively connected to thepharmacy gateway and the server computer. The benefit processor includesa database, a benefit artifact of the database relationally associatedto the discount coupon and the prescription script, a first communicatorconnected to the benefit artifact, for communicating the benefitartifact to the pharmacy gateway, and a second communicator connected tothe benefit artifact, for communicating the benefit artifact to theserver computer. The server computer updates the eligibility database inresponse to receiving the benefit artifact from the second communicatorof the benefit processor.

In other aspects of the embodiments, the system includes a follow-upcoupon of the discount database, communicated by the server computer tothe cell phone at the phone number via the carrier network, in responseto receiving the prescription token.

In yet other aspects of the embodiments, the system includes a memory ofthe cell phone connected to the radio and the processor. The follow-upcoupon is stored in the memory in response to receiving the follow-upcoupon by the cell phone.

BRIEF DESCRIPTION OF THE DRAWINGS

The present invention is illustrated by way of example and notlimitation in the accompanying figures, in which like referencesindicate similar elements, and in which:

FIG. 1 illustrates a system for delivering a prescription drug discountto a cellular communications device over a cellular carrier network,according to certain embodiments of the invention;

FIG. 2 illustrates an exemplary cellular communications device of thesystem of FIG. 1, according to certain embodiments of the invention;

FIG. 3 illustrates a token structure of a prescription token of thesystem of FIG. 1, according to certain embodiments of the invention;

FIG. 4 illustrates a message artifact for the token structure of thesystem of FIG. 1, according to certain embodiments of the invention;

FIG. 5 illustrates an exemplary server computer of the system of FIG. 1,according to certain embodiments of the invention;

FIG. 6 illustrates an exemplary eligibility database of the servercomputer of the system of FIG. 1, according to certain embodiments ofthe invention;

FIG. 7 illustrates an exemplary discount database of the server computerof the system of FIG. 1, according to certain embodiments of theinvention;

FIG. 8 illustrates an exemplary ad database of the server computer ofthe system of FIG. 1, according to certain embodiments of the invention;

FIG. 9 illustrates an exemplary benefit processor of the system of FIG.1, according to certain embodiments of the invention; and

FIG. 10 illustrates a method of delivering a prescription drug discountto a cellular communications device over a cellular carrier network,according to certain embodiments of the invention.

DETAILED DESCRIPTION

Referring to FIG. 1, a system 100 for communicating with a prescriptiondrug customer to provide drug discounts and aid drug therapy comprisesone or more communications network 102. The network 102 includes acellular carrier network (carrier network) 104, and can also include,for example, one or more of a public switched telephone network (PSTN)106, a packet switched network (IP network) 108, and other channel ormode of communication 110. For convenience in discussion, the carriernetwork 104 is identified as such herein. Other communication networks,such as the PSTN 106, the IP network 108, and/or other channel or modeare sometimes individually or collectively referred to herein as “OtherNetworks.” The term Other Networks, therefore, is intended to mean anyone or more communications links which are not the carrier network 104.As will be understood, the carrier network 104, as well as the OtherNetworks, may be inter-linked or interconnected for communicationsbetween or among said networks or respective ones of them.

The system 100 also includes a cellular communications device 112. Thecellular communications device 112 is communicatively connected to thecarrier network 104. The cellular communications device 112 is any of acellular radio transceiver capable of communicating messages, such asshort message service (SMS), multimedia message service (MMS), enhancedmessage service (EMS), wireless access protocol service (WAP), and/orother message on the carrier network 104 to and from a destinationserviced by the carrier network 104 and/or the Other Networks viacommunicative connection to the carrier network 104. Pluralities of thecellular communications device 112, as well as additional and variedtypes of cellular data, voice and information communicators, canconcurrently communicatively connect to and communicate over the carriernetwork 104. For purposes of illustration in FIG. 1, the cellularcommunications device 112 is shown as a single unitized device; however,it is to be understood that the cellular communications device 112 maybe any of a cellular telephone, cellular modem equipped laptop orpersonal digital assistant, similar cellular communicator, or acombination of any of these with other electronic device(s) and/ordevice components.

Referring to FIG. 2, in conjunction with FIG. 1, the cellularcommunications device 112 of the system 100, for example, a cellularphone with messaging component(s), comprises a cellular radio 202, amessenger 204, a processor 206, a memory 208, an input interface 210 andan output interface 212. The processor 206 is connected to the messenger204. The processor 206 is also connected to the memory 208, the inputinterface 210 and the output interface 212. The processor 206 can be asingle microprocessor or other control circuit, or pluralities orcombinations of these. The processor 206 controls the messenger 204, thememory 208, the input interface 210 and the output interface 210. Theprocessor 206 can further be connected to the radio 202 for control oftransmission and reception by the radio 202 on the carrier network 104.The messenger 204 is, for example, a microprocessor, logic circuit,messaging program stored in memory controlled by the processor 206, orpluralities or combinations, for initiating, creating, formatting, andtransmitting, and receiving, constructing, transposing, and viewing, acellular data message over the carrier network 104.

Referring to FIG. 3, in conjunction with FIGS. 1 and 2, the system 100further comprises a prescription token (Rx token) 114 providing input tothe cellular communications device 112. The Rx token 114 comprises atoken structure 300, including at least one instructor 302 relative tothe Rx token 114 and at least one destination locator 304 of the carriernetwork 104 (or of one of the Other Networks communicatively connectedto the carrier network 104). The cellular communications device 112processes the at least one instructor 302, such as upon input via theinput interface 210, to generate the token structure 300 and store thetoken structure 300 in the memory 208. The at least one destinationlocator 304 targets the token structure 300 for communicative receipt bya server computer 116 (shown in FIG. 1) of the system 100. In additionto the at least one instructor 302 and the at least one destinationlocator 304, the token structure 400 can, but need not necessarily,comprise an authorization artifact, policy, or other article orcomponent (not shown in detail in FIG. 3) of or for the Rx token 114.

The Rx token 114 is input to (or read or received by) the cellularcommunications device 112. For example, the Rx token 114, orrepresentative features thereof, is entered to the input interface 210of the cellular device 112, such as by a keypad, magnetic, infrared orradio frequency identification (RFID) reader, Bluetooth™ communicator ordongle, touch screen, or other interface component of the cellularcommunications device 112. Via the processor 206, in conjunction withthe input interface 210 and the memory 208, as applicable, the tokenstructure 300 of the Rx token 114 is saved in the memory 208. In certainembodiments, the Rx token 114 is a card, such as a plastic wallet card,representing the at least one instructor 302 and the destination address304 provided to the user of the cellular device 112 for input by theuser to the cellular device 112. Alternately, the Rx token 114 can becommunicated to the cellular communications device 112 from an externalsource (not shown), via a communication interface (such as the radio 202or another data input component) for message service, e-mail, websitedownload, or via other component of the cellular communications device112 capable of receiving such input. In other alternatives, the Rx token114 can be pre-installed as an application or stored bits in programmedmemory (e.g., ROM, EPROM, EEPROM) of the cellular communications device112.

The Rx token 114 in certain embodiments is the token structure 300. Asthe token structure 300, the Rx token 114 is itself an input to, readinto, and/or converted by the cellular communications device 112 to acommunicative message artifact 400 transmitted by the cellularcommunications device 112 on the carrier network 104. Alternately, thetoken structure 300 is representative of the Rx token 114 but is notitself the Rx token 114. As an example, the Rx token 114 directs oractivates an input to the cellular communication device 112 of the tokenstructure 300, and the token structure 300 is thereby controlled by theRx token 114. In such example, the Rx token 114 is not itself the tokenstructure 300 input to the cellular communications device 112, and, ineffect, is proxy for the token structure 300 as retained in the memory208 of the cellular communication device 112.

Referring to FIG. 4, in conjunction with FIGS. 1 and 2, the messenger204, through operations of the processor 206 and the memory 208,processes and transforms the token structure 300 to create a messageartifact 400 capable of communication by the cellular communicationsdevice 112 on the carrier network 104. The message artifact 400comprises a destination address 402 of the network 102 for a receiverconnected to the network 102, such as via the carrier network 104 orconnected by the Other Networks to the carrier network 104. The messageartifact 400 also comprises a request segment 404. The message artifact400 can additionally comprise, for example, a privacy policy,restriction policy, other policy, and/or directive or control(collectively, the “policy 406), for authorizing the cellularcommunications device 112 to use the Rx token 114 and to communicate themessage artifact 400 on the carrier network 104. In certain embodiments,the message artifact 400 is a cellular message, such as short messageservice (SMS), multimedia message service (MMS), enhanced messageservice (EMS), wireless access protocol service (WAP), and/or othermessage transmittable by the cellular communications device 112 over thecarrier network 104 to the destination address 402 of the network 102.

The request segment 404 of the message artifact 400 designates aparticular prescription drug, such as digital bits representing“PPIxxxx”, where “PPI” is an identifying nomenclature for the class ofthe prescription drug and “xxxx” is an index number of the particularmake/type of the drug. The destination address 402 controls routing ofthe message artifact 400 when transmitted on the carrier network 104(and any applicable intermediate or destination pathways of the OtherNetworks connected to the carrier network 104) to the destinationaddress 402 of the network 102. The policy 406, if included in themessage artifact 400, accompanies and relates to the request segment 402and the destination address 404 to maintain verification, authorization,and/or integrity of delivery of the message artifact 400 at thedestination address 402 on transmission by the cellular communicationsdevice 112.

Referring to FIG. 5, in conjunction with FIG. 1, the server computer 116of the system 100 is communicatively connected to the carrier network104, directly or via one or more of the Other Networks communicativelyconnected to the carrier network 104. The server computer 116 has thedestination address 404, such as by an IP address, cellular call number,or other communicative identifier of the server computer 116 on thenetwork 102. The server computer 116 comprises a server processor 502,memory 504 connected to the server processor 502, at least onecommunicator device 506 connected to the server processor 502, and amessage parser 508 connected to the at least one communicator device506. The at least one communicator device 506 is a cellular modem, wireddata connector (such as an Ethernet port), wireless data connector (suchas a wireless area network (WLAN) modem), or other input/outputcomponent communicatively connected to the carrier network 104, directlyor indirectly. The message parser 508 is a hardware component, softwarestored in memory, or combination, of the server computer 116 and can beor include the server processor 502.

The server computer 116 further comprises an ad processor 122, adiscount processor 124 and an eligibility processor 126. Alternatively,the server computer 116 communicatively connects to at least certain ofthe ad processor 122, the discount processor 124 and/or the eligibilityprocessor 126 external to the server computer 116. Each of the adprocessor 122, the discount processor 124 and the eligibility processor126 comprises or communicatively connects to a data processor, a memory,and a relational database stored in memory. In certain embodiments, thead processor 122, the discount processor 124 and the eligibilityprocessor 126 comprise at least certain of the processor 502, memory504, and/or, if included in the server computer 116, one or morerelational database (not shown in FIG. 5) stored in the memory 504.

Referring to FIGS. 6-8, in conjunction with FIGS. 1 and 5, the adprocessor 122, the discount processor 124, and the eligibility processor126, each comprise a processor, memory, and relational database storedin memory. Each database comprises at least one record and at least onefield structure of each record. The database also comprises one or morelogical relators for relationally associating each field structure withone or more records. Each field structure is (or points to) a respectivedata segment stored in memory. The data segment of each field structurecan be any data, text, and/or logical operators, for example, a cellularphone identity (such as cell phone number), system opt-in permit,privacy policy, drug selector, transmit or receive message format, drugidentifier, and other information bits. The database, operating via theprocessor and the memory, relationally organizes, and associates andselectively queries, sorts, filters, parses, retrieves, and reports, oneor more of the data segments associated with applicable ones of thefield structure. As will be appreciated, the ad database 122, thediscount database 124 and the eligibility database 126 can comprise thesame or different processor, memory and relational database stored inmemory.

In exemplary embodiments, the respective relational database(s) of theeligibility processor 126 is illustrated in FIG. 6, of the discountdatabase 124 is illustrated in FIG. 7, and of the ad database 122 isillustrated in FIG. 8. Referring to FIG. 6, the relational database 600of the eligibility processor 126 comprises one or more eligibilityrecords 602. Each of the eligibility records 602 comprises a cellularphone identity 604, a patient number 606, and an eligibility article608. The phone identity 604 is relationally linked (i.e., associated)with the patient number 606, and the patient number 606 is relationallylinked with the eligibility article 608.

Referring to FIG. 7, the relational database of the discount database124 comprises one or more discount coupon 702. Each discount coupon 702comprises a discount artifact 704, a pharmacy identity 706, and a drugunit 708. The pharmacy identity 706 is relationally linked to the drugunit 708. The discount artifact 704 is relationally linked to the drugunit 708 and, in certain embodiments, to the pharmacy identity 706. Incertain embodiments, the discount artifact 704 is generated by theserver processor 502 (of the server computer 116 of FIG. 1) via aprogram stored in memory (not shown in detail); for example, based onthe drug unit 708, the pharmacy identity 706, and a particular one ofthe eligibility records 602, the discount program logically generatesthe discount artifact 704.

Referring to FIG. 8, the relational database of the ad database 122comprises a plurality of ad messages 802. The ad messages 802 arerelationally linked to the eligibility records 602 and the one or morediscount coupon 702, either via processing by the server processor 502,via an ad program stored in memory (not shown in detail), by theeligibility processor 700 and discount processor 800, or combinations.Operations of the eligibility processor 126, the discount database 124,and the ad database 122 are later described in conjunction withoperations of the server processor 502 and other aspects of the system100.

Referring to FIG. 9, in conjunction with FIG. 1, a benefit processor 118comprises an input/output interface 910 communicatively connected, viaone or more of the carrier network 104 and/or the Other Networks, to theserver computer 116. In certain embodiments, the benefit processor 118comprises a microprocessor 902, a benefit memory 904, an adjudicator906, and a benefit database 908 stored in the benefit memory 1004. Themicroprocessor 902 connects to the input/output interface 910, thebenefit database 908, the memory 904, and the adjudicator 906. Theadjudicator 906 is, for example, a software program stored in memory orhardware logic component. In certain embodiments, the benefit processor118 is a computer and the input/output interface 910 is a wired,wireless or cellular modem or other communicative element connected tothe IP network 108 directly and/or, alternatively or in combination,indirectly via the network 102. In certain embodiments, the benefitprocessor 118 connects to the IP network 108 and communicates thereonwith the server computer 116 via a web browser, file transfer protocol(ftp) or proprietary program stored in memory, proprietary protocolcommunicator, e-mail communicator, messaging system, electronic datainterchange (EDI) system, or other device or connected component of thebenefit processor 118.

The adjudicator 906 of the benefit processor 118 comprises, or iscommunicatively connected to, a benefits coordinator 130 and a primaryclaim negotiator 132. The benefits coordinator 130 and the primary claimnegotiator 132 are each stores of insurance coverage data for patientsobtaining prescription drugs via the system 100. An example of thebenefit processor 118 is an insurance benefits processing companycomputer system or network and related database(s). In an exemplaryembodiment, the benefits coordinator 130 administers Medicareprescription drug claims of patients and the primary claim negotiator132 administers primary insurer prescription drug claims of patients.

Referring back to FIG. 1, a pharmacy gateway 120 communicativelyconnects, via network 102, to the benefit processor 118. The pharmacygateway 120 is a computer, telephone, or other communicator devicehaving one or more of a wired, wireless or cellular modem or analogvoice transceiver communicative link to the benefit processor 118, forexample, a local area network (LAN), a wireless area network (WLAN),enterprise sub-networks, router, switch, computer, the cellular network104, the PSTN 106, the other channel or mode 110, switchboard, privatebranch exchange system, portions or sub-networks thereof, and otherlinks. In certain embodiments, the pharmacy gateway 120 connects to theIP network 108 for communications with the benefit processor 118. Thepharmacy gateway 120 in certain embodiments communicatively connects tothe cellular communications device 112 via the carrier network 104. Inalternate embodiments, the pharmacy gateway 120 communicates with thecellular communications device 112 by viewing a display of the cellularcommunications device 112, reading a file structure of the cellulardevice 112, communicating with the server computer 116 as proxy for thecellular communications device 112 (such as on the IP network 108 or theOther Networks), or via cellular or analog telephone call of thecellular communications device 112 or other device (not shown indetail).

In operation of the system 100, the token structure 300 of the Rx token114 is captured to the memory 208 of the cellular communications device112, such as via signal input to the input interface 210 of the cellularcommunications device 112 or as otherwise previously described. Theprocessor 206 stores the token structure 300 in the memory 208. Themessenger 204 is then initiated, and in conjunction with operations ofthe processor 206 and the memory 208, creates the message artifact 400from the token structure 300. The messenger 204, in conjunction with theprocessor 206, controls the radio 202 to transmit the message artifact400 to the destination address 402 for the server computer 116 over thecarrier network 104.

In certain embodiments, upon capture of the token structure 300 of theRx token 114 and further direction input to the input interface 210 ofthe cellular communications device 112, the messenger 204 is initiatedby the processor 206 in response to signal of the input interface 210(e.g., initiation of operations of the messenger 204 as an applicationprogram stored in memory via signal of the input interface 210). Forexample, a user of the cellular communications device 112 initiates themessenger 204 by instruction entry to the input interface 210. In otherembodiments, the messenger 204 is initiated automatically on receipt orstorage of the token structure 300 in the memory 208, or otherwise.

The messenger 204, under control of the processor 206, delivers themessage artifact 400 to the radio 202 of the cellular communicationsdevice 112. The radio 202 transmits the message artifact 400 as acellular message on the carrier network 104.

The server computer 116 receives the message artifact 400 sent by thecellular communications device 112 from the network 102 via thecommunicator 506. As received, the message artifact 400 is constructedand parsed by the server computer 116 for the token structure 300. Thetoken structure 300, or portions, is saved in the server memory 504.

The server processor 502 of the server computer 116 performs a look-upin the eligibility database 126 for any of the eligibility records 602containing (or otherwise relevant) to the token structure 300. Forexample, the server processor 502 filters the eligibility records 602 todetermine if the at least one instructor 302, or portions, of the tokenstructure 300 match any cellular phone identity 604 of the eligibilityrecords 602. If match is not found, the server processor 502, inconjunction with the eligibility database 126 creates a new one of theeligibility records 602 for the cellular phone identity 604 and otherdetails of the token structure 300 (i.e., in such instance, the createdeligibility record is for a new patient/user with a cell phone notrecognized as previously registered with the system). The serverprocessor 502 then performs a look-up in the discount database 124 toretrieve the discount coupon 702 for the new eligibility record 602created for the cellular phone identity 604. The discount coupon 702comprises the discount artifact 704, the pharmacy identity 706 and thedrug unit 708. For example, the discount coupon 702 obtained from thelook-up provides information of a particular pharmacy and savingdiscount. The server computer 116 sends the discount coupon 702, as amessage (e.g., SMS, MMS, EHS, WAP, or other message), to the cellularcommunications device 112 (either directly on the carrier network 104 orvia the Other Networks communicatively connected to the carrier network104). If, however, match is found in the look-up by the server computer116 in the eligibility database 126 (e.g., the cellular phone identity604 is present in at least one of the eligibility records, indicating apreviously registered patient/user with a cell phone recognized aspreviously registered with the system), the applicable eligibilityrecord(s) 602 for the at least one instructor 302 are retrieved by theserver processor 502. The discount database 124 is then searched todetermine the applicable discount coupon 702 relevant to the particularinstructor 602 and eligibility record(s) 602. The server computer 116then sends the discount coupon 702, as a message on the network 102, tothe cellular communications device 112 for receipt from the carriernetwork 104.

After the applicable discount coupon 702 is sent as the message by theserver computer 116, the messenger 204 of the cellular communicationsdevice 112 receives the discount coupon 702 over the carrier network102. The processor 206 of the cellular communications device 112processes and displays output via the output interface 212 representingthe discount coupon 702. The discount coupon 702 is saved in the memory208, either automatically on processing and display or by instruction tothe input interface 210.

By direction to the input interface 210 by the user of the cellularcommunications device 112, the discount coupon 702 is presented to thepharmacy gateway 120. Delivery of the discount coupon 702 is, forexample, via viewing of a display representing the discount coupon 702on the cellular communications device 112 at the physical location of apharmacy, communicative transmission of the discount coupon 702 by thecellular communications device 112 to the pharmacy gateway 120, such asover the carrier network 104, or communicative transmission of thediscount coupon 702 to the pharmacy gateway 120 via one of the OtherNetworks, either by the cellular communications device 112 or anothernetworked device.

On presentation of the discount coupon 702 to the pharmacy gateway 120,the pharmacy gateway 120 communicates to the benefit processor 118 thediscount coupon 702, together with a prescription script correspondingto the discount coupon 702, applicable identifier for the drug of theprescription script (obtained by the patient from a physician), anidentifier of the patient relevant to the prescription script, and otheritems (such as may be required by the benefit processor 118). Thebenefit processor 118 receives the communication, and processes acovered benefit related thereto. In processing the covered benefit, theadjudicator 906 of the benefit processor 118 accesses the benefitscoordinator 130 and/or the primary claim negotiator 132. If the coveredbenefit is available from the benefits coordinator 130, then the benefitprocessor 118 communicates a coverage indicator to the pharmacy gateway120. If the covered benefit is not available from the benefitscoordinator 130, then the benefit processor 118 communicates a nocoverage indicator to the pharmacy gateway 120.

If the pharmacy gateway 120 gateway receives a coverage indicator, thenthe pharmacy processes the prescription in typical manner, provides thepatient a discount per the discount coupon 702, and charges the patienta price for the prescription reduced by the discount and the coveredbenefit. If the pharmacy gateway 120 receives a no coverage indicator,then the pharmacy processes the prescription in typical manner, providesthe patient the discount per the discount coupon 702, and charges thepatient a price for the prescription reduced by solely the discount.

Upon the benefit processor 118 communicating the coverage indicator orno coverage indicator to the pharmacy, the benefit processor 118communicates to the server computer 116 an eligibility updatenotification. The eligibility update notification is received by theserver computer 116, processed and stored in memory. The serverprocessor 502 controls the eligibility processor 126 to change theeligibility records 602 for the patient number, for example, per aparticular patient number 606 of the patient (as indicated by theeligibility update notification), corresponding to the particularprescription, such as by storing in memory a different eligibilitystatus indicator in the relationally linked eligibility article 608 ofthe applicable eligibility record(s) 602.

These operations of the system 100 are repeated for each next Rx token114 captured in and transmitted by the cellular communications device112, with the result that each next Rx token 114 will result in changeto the cellular communications device 112, the server computer 116, andthe benefit processor 118 reflecting each prescription transaction by apatient associated with the particular cellular communications device112.

Referring to FIG. 10, a method 1000 of communicating with a prescriptiondrug customer to provide drug discounts and aid drug therapy comprises astep 1002 of receiving the Rx token 114 by a user of a cellularcommunications device 112. For example, the Rx token 114 is obtained bya patient from a physician, together with a prescription script for adrug addressing the patient's malady. The token structure 300 of the Rxtoken 200 is input to the input interface 210 or otherwise captured inthe memory 208 of the cellular communications device 112 in a step 1004.The cellular communications device 112 is, for example, a cell phone ofthe patient or care-provider of the patient.

In a step 1006, the messenger 204 is initiated, such as by additionaldirection input to the input interface 210 or storage of the tokenstructure 300 in memory 208, and the processor 206 of the cellularcommunications device 112 processes the token structure 300 to generatethe message artifact 400 in respect of the token structure 300. Themessage artifact 400 is transmitted by the radio 202, under direction ofthe memory 208 and control of the processor 202, on the carrier network104. The message artifact 400 is, for example, a cellular messagetransmitted by the cellular communications device 112, such as an SMS,MMS, EMS, WAP, or other message, directed to the destination address 402of the network 102 for the server computer 116.

In a step 1010, the server computer 116 receives the message artifact400 as communicated to the server computer 116 by the network 102. Thenetwork 102 can be the carrier network 104, or another of the OtherNetworks communicatively connected to the carrier network 104. Onreceipt of the message artifact 400 by the server computer 116, themessage parser 508 of the server computer 116 constructs, parses andtranslates the message artifact 400 to recover the token structure 300in a step 1012.

The server computer 116 performs a logical look-up in a step 1014 of anaspect of the token structure 300 in the eligibility database 126. Inthe step 1014, the eligibility records 602 are filtered to determine anymatch to the at least one instructor 302, or portions, of the tokenstructure 300. For example, the at least one instructor 302 of the tokenstructure 300 includes the cellular phone identity 604, such as cellphone number for the cellular communications device 112 and adesignation for particular prescription drug of the prescription scriptprovided by the physician to the patient-user of the cellularcommunications device 112. In certain embodiments, the at least oneinstructor 302 includes a message, such as “Save $ on PPIxxxx” wherePPIxxxx identifies the class and particular make/type of drug of theprescription script.

The server computer 116 performs a next logical look-up in a step 1016of the discount coupon 702 applicable to the prescription drug (such asPPIxxxx) and particular eligibility records 602, if any, located in thestep 1014. If none of the eligibility records 602 are located in thestep 1014, the server computer 116, in a step 1018, retrieves the admessage(s) 802 for the particular discount coupon 702 of the step 1014.If eligibility records are located in the step 1014, the server computer116 in the step 1018, instead, retrieves a different one or more of thead message 802 for the discount coupon 702 of the step 1014. In a step1020, the server computer 116 sends the ad message 802 retrieved in thestep 1018, for receipt by the cellular communications device 112 overthe carrier network 104. For example, in the step 1020, the servercomputer 116 sends the ad message 802 on the network 102, such as by anSMS, MMS, EMS, WAP or other message, to the phone number for thecellular communications device 112.

The cellular communications device 112 receives the ad message 802 in astep 1022. In a step 1023, the ad message 802 is constructed, parsed,saved and displayed by the cellular communications device 112 in theform of the discount coupon 702. In a step 1024, the user of thecellular communications device 112 presents the discount coupon 702,together with the prescription script, to a pharmacy. The presentingstep 1024 comprises, for example, display of the discount coupon 702 onthe cellular communications device 112 at the physical location of thepharmacy (e.g., the cellular communications device 112 is carried to thepharmacy and the discount coupon 702 is shown to a pharmacist via theoutput interface 212), transfer of the discount coupon 702 to thepharmacy gateway 120 for receipt by the pharmacy (e.g., the cellularcommunications device 112 communicates the discount coupon 702 to thepharmacy gateway 120 by cellular message, website upload, ftp transfer,or other), or other mode (e.g., the discount coupon 702 is delivered tothe pharmacy gateway by another network device, such as a networkedcomputer, capable of communicating on the network 100, the discountcoupon 702 is printed from the cellular communications device 112 andthe print copy is given to the pharmacy, or otherwise).

On presentation of the discount coupon 702 in the step 1024, thepharmacy gateway 120 (or pharmacy, as applicable) views the discountcoupon 702 in a step 1026. The pharmacy gateway 120, in a step 1028,communicates the prescription script to the benefit processor 118,together with identification of the applicable patient and anyadditional information required by the benefit processor 118. Forexample, the pharmacy gateway 120 communicates in the step 1028 via thenetwork 102, with the benefit processor 118.

In a step 1030, the benefit processor 118 receives the prescriptionscript, together with the additional information. The benefit processor118 adjudicates the coverage benefit applicable to the prescriptionscript and patient in a step 1032. The step of adjudicating 1032 thecoverage benefit includes either: a step of communicating 1034 with thebenefits coordinator 130 if the benefits coordinator 130 provides thecoverage benefit, a step of communicating 1036 with the primary claimnegotiator 132 if the benefits coordinator 130 does not provide thecoverage benefit, or combination. In response to the step ofadjudicating 1032, the benefit processor 118, in a step 1038, determinesthe coverage indicator/no coverage indicator, in respect of the coveragebenefit from the step of adjudicating 1032, and communicates thecoverage indicator or otherwise, the no coverage indicator, to thepharmacy gateway 120 (or pharmacy, depending on mode of communication).

In a step 1040, the pharmacy gateway 120 (or pharmacy, as applicable)receives the coverage indicator or no coverage indicator, as applies. Ifthe pharmacy gateway 120 receives the coverage indicator, the pharmacygateway 120 (or pharmacy) in a step 1042 provides the patient a discountin price, per the discount coupon 702, and less the coverage benefit perthe coverage indicator, in a sale transaction of the prescription drugaccording to the prescription script. If, on the other hand, thepharmacy gateway 120 receives the no coverage indicator, the pharmacygateway 120 (or pharmacy) in the step 1042 provides the patient adiscount in price, per the discount coupon 702 (without any coveragebenefit reduction), in a sale transaction of the prescription drugaccording to the prescription script.

On completion of the step 1038 by the benefit processor 118, the benefitprocessor 118 communicates the eligibility update notification to theserver computer 118 in a step 1048. The server computer 118 receives theeligibility update notification in a step 1050. Communication of theeligibility update notification is via the network 102. Upon thereceiving step 1050, the eligibility update notification is read by theserver computer 118. In a step 1052, the server processor 502, inresponse to the eligibility update notification, controls theeligibility processor 126 to change the eligibility records 602 storedin memory, for the patient number 606 corresponding to the eligibilityupdate notification and prescription. For example, an eligibility statusindicator in the related eligibility article 608 of the eligibilityrecords 602 is modified to evidence that the sale transaction wascompleted for the prescription drug, with the applicable discount inprice (i.e., either per discount coupon and coverage benefit reduction,if covered benefit; or per discount coupon, if no covered benefit).

The server computer, thereafter, in a step 1054, based on theeligibility records 602 as then existing for each respective patientnumber 606 and eligibility article 608, can send ticker remindermessages to the cellular communications device 112. In the step 1048,for example, the eligibility records 602 are periodically (e.g., daily)filtered and processed under control of the eligibility processor 126,to detect date(s) when refills of the prescription drug (and/or relatedor other products or services) would be needed by the relevant patient.In the step 1054, a ticker reminder message is sent to the cellularcommunications device 112 associated with the relevant patient per thecellular phone identity 604 of the eligibility records 602. The tickerreminder message is an SMS, MMS, EMS, WAP or other cellular message,sent by the server computer 116 on the network 102 directed to thecarrier network 104, for receipt from the carrier network 104 by thecellular communications device 112 of the relevant patient.

Various alternatives and additions are possible in the foregoingembodiments. In certain alternatives, the discount per the discountcoupon 702 may be provided by other than the pharmacy, such as by aninsurer (e.g., to encourage patient participation and compliance to drugtherapy regimen), a physician (e.g., to advertise), a pharmacy-relatedentity (e.g., to advertise products or services available at thepharmacy in addition to the prescription drug), and others. The discountcoupon 702 can relate to a discount associated with any device or entityof the system or any other or external source. The server computer 116or related discount database 126, alternatively, can be managed orprovided by an external device or network to the system 100, such as byan input to the system 100. In certain alternatives, the benefitprocessor 118 and pharmacy gateway 120 are not included in the system100, and/or the server computer 116 provides the functionalities of thebenefit processor 118 and the pharmacy gateway 120. An example of suchscenario is a pharmacy conglomerate or pharmacy/insurer combinationwhich provides the functionalities of the server computer 116, benefitprocessor 118 and pharmacy gateway 120 either directly without thenetwork 102 or via other modes and devices.

In other alternatives, modifications and additions, the system 100permits advertising, via the pharmacy gateway 120, the server computer116, and/or benefit processor 118, based on the eligibility records 602or other elements of the system 100. For example, the eligibilityrecords 602 can provide information and data of distinct patients (orcommunication devices of or related to those patients). Accumulation ofsuch information and data in the manner of targeted cellular messagecommunications from the patient to a particular destination of thenetwork, and security protected channels of communications betweenpharmacy and benefit providers, affords security of communications ofpatient information and, yet, allows for targeted advertising deliveryto the patient by such secure channels. Through communicative connectionto the eligibility records 602, any authorized device can direct orcontrol the discount database 124, such as to make available particularform of the discount coupon 702 (and thus the discount, for example, ifpricing changes, new discount items are advertised, etc.). Similarly,the server computer 116 can be controlled through such communicativeconnection, such as to send cellular messages to the cellularcommunications device 112 alerting to additional items, with directedtiming or other criteria.

An example implementation of the foregoing embodiments follows:

A physician writes a prescription script and provides the patient withthe script and a Rx token. The Rx token includes, for example, aHIPAA/privacy disclaimer and directions for input to a cellular phone ofthe patient. The patient inputs a token structure to the cell phone andcommences a messenger of the cell phone to create a text messageaccording to the directions of the Rx token and representing the tokenstructure. The text message is an SMS message for transmission by thecellular phone on the cellular carrier network servicing the phone. Thetext message, per the directions, includes the text “Save $ on PPIxxxx”and is transmitted to a phone number xxx-xxx-xxxx per the directions.

The text message is received over a network, either the cellular carriernetwork or another network connected to the cellular carrier network, atthe phone number (or at a designated location of the network, such as IPaddress, at which the message is proxied to the phone number). The textmessage is interpreted by a savings manager center, such as a servercomputer. The savings manager center searches database(s) recordsrelevant to the received message, and responds to the cell phone via thecell phone number, with a response text message. This response textmessage includes a direction for a particular pharmacy, pharmacyinstructions, and patient reference, such as “To save $ now, have[Pharmacy ABC] submit prescription drug claim to BIN XXXXXX & Group#PPI25 with ID# YM12345. Usage constitutes opt-in for follow-up” (e.g.,132 characters). This response text message is delivered by the cellularcarrier network to the cell phone (or, in certain scenarios, the messageis maintained by a message center accessible to the cell phone).

The cell phone receives the text message from the savings managercenter. The patient (or care-giver, etc.) then presents the pharmacy(i.e., Pharmacy ABC) with the text message received on the cell phone,together with the prescription script obtained from the physician. Thepharmacy views the text message, such as via the cell phone display, andthe pharmacy submits the prescription to a benefit processor (such as aCoordinator of Benefits, primary insurer, or other) for adjudication ofbenefit coverage applicable to the patient and prescription of theprescription script. The benefit processor adjudicates the prescriptionbenefit coverage with a benefits coordinator of Medicare, if applicable,and/or a primary insurer, as may apply. If the prescription is coveredby Medicare, the benefit processor processes the claim to buy down thepatient's co-pay to $XX with a maximum benefit of $XX. If theprescription is not covered or only partially covered by Medicare, thebenefit processor processes the claim under primary insurance coveragefor a cash paying patient (or as rejected under Medicare as Drug NotCovered (70) or Prior Authorization Required (75)).

On adjudication by the benefit processor, the benefit processorcommunicates the applicable benefit coverage to the pharmacy. Thebenefit processor additionally sends details of the prescription benefitcoverage and adjudication to the savings manager center. The detailscommunicated to the savings manager center contain NCPDP (NationalCouncil for Prescription Drug Program) fields, as follows: Patient orCardholder First Name, Patient or Cardholder Last Name, Patient orCardholder Date of Birth, Patient or Cardholder Gender, Prescriber ID,Insurer ID, Primary CoPay, Pharmacy ID, COB (Coordination of Benefits,i.e., Medicare) indicator/value, NDC (National Drug Code) #, QuantityDispensed, and Days Supply.

The savings manager center, based on these received details, creates andsends a follow-up text message to the cellular phone of the patient. Ifprescription benefit coverage has been successfully adjudicated throughthe benefits coordinator of Medicare, the follow-up text messageincludes a compliance message on 50% utilization of maximum benefit,such as “For additional Rx savings, please visit websitewww.textRxSavings.com to complete a survey about PPIxxxx.” If, on theother hand, the prescription is not covered by Medicare, the follow-uptext message includes direction to send a prior authorization inquiryimmediately, such as “No plan coverage for PPIxxxx. If insurance deniedPPIxxxx, we want to help. Text plan name to request coverage or none ifno Rx plan” (e.g., 132 characters). On receiving the follow-up textmessage on the cellular phone of the patient, the patient views themessage and takes subsequent action. For example, as directed by thefollow-up message, the patient can visit the listed website or send atext message to the savings manager center.

The savings manager center additionally, based on the details receivedfrom the benefit processor, updates eligibility records for theparticular patient, prescription, cellular phone identity/number and anyother applicable modifications. The savings manager center communicatesthe update by the savings manager center to the benefit processor toprovide additional benefit coverage discount. In response to thecommunication, the benefit processor updates a benefit database toregister that a benefit is extended for a certain number of refills ofthe prescription, for a specific time period, and/or for a specifiedtotal dollar benefit. The update to the benefit database is thereafterreflected for the adjudication of any next prescription drug coverage inconnection with refill, new prescription, or as otherwise applicable forthe particular patient.

In the foregoing specification, the invention has been described withreference to specific embodiments. However, one of ordinary skill in theart appreciates that various modifications and changes can be madewithout departing from the scope of the present invention as set forthin the claims below. Accordingly, the specification and figures are tobe regarded in an illustrative rather than a restrictive sense, and allsuch modifications are intended to be included within the scope of thepresent invention.

Benefits, other advantages, and solutions to problems have beendescribed above with regard to specific embodiments. However, thebenefits, advantages, solutions to problems and device(s), connection(s)and element(s) that may cause any benefit, advantage, or solution tooccur or become more pronounced are not to be construed as a critical,required, or essential feature or element of any or all the claims. Asused herein, the terms “comprises, “comprising,” or any other variationthereof, are intended to cover a non-exclusive inclusion, such that aprocess, method, article, or apparatus that comprises a list of elementsdoes not include only those elements but may include other elements notexpressly listed or inherent to such process, method, article, orapparatus.

1. A method of delivering a prescription drug discount via a cellularmessage on a cellular carrier network, comprising the steps of:capturing a prescription token in a memory of a cellular communicationdevice, the prescription token comprises at least one instructor,including a prescription drug identity, a prescription drug patientidentity, a cell phone number related to the prescription drug patientidentity, and at least one destination locator for a server computercommunicatively connected to the cellular carrier network; processing amessage artifact of the prescription token by the cellular communicationdevice, the message artifact comprises a destination address of theserver computer communicatively accessible by the cellular carriernetwork and a request segment of a prescription drug identifier;transmitting the message artifact by the cellular communication deviceover a cellular carrier network; receiving the message artifact by theserver computer at the destination address, as communicated by thecellular communication device over the cellular carrier network; parsingthe message artifact by the server computer; generating the prescriptiontoken by the server computer after the step of parsing; looking-up atleast a portion of the prescription token in an eligibility databaseconnected to the server computer, the eligibility database comprises atleast one eligibility record related to the at least the portion of theprescription token; retrieving the at least one eligibility record fromthe step of looking-up at least a portion of the prescription token;looking-up at least a portion of the at least one eligibility record ina discount database, the discount database comprises at least onediscount artifact related to the prescription drug identity of the atleast one instructor; retrieving the at least one discount artifact ofthe discount database from the step of looking-up the at least a portionof the at least one eligibility record; processing the at least onediscount artifact by the server computer to generate a discount coupon;sending the discount coupon by the server computer for receipt by thecellular communication device from the cellular carrier network;receiving the discount coupon by the cellular communication device fromthe cellular carrier network; presenting the discount coupon, togetherwith a drug prescription per the prescription drug identity of the atleast one instructor, to a pharmacy gateway by the cellularcommunication device; communicating the drug prescription, together withthe prescription drug patient identity of the at least one instructor,to a benefit processor by the server computer; determining a coveragebenefit by the benefit processor based on the drug prescription and theprescription drug patient identity; communicating the coverage benefitto the pharmacy gateway; communicating an eligibility updatenotification to the server computer by the benefit processor, after thestep of communicating the coverage benefit to the pharmacy gateway;receiving the eligibility update notification by the server computer;updating the at least one eligibility record of the eligibility databasevia the server computer, in response to the eligibility updatenotification; processing the eligibility update notification to derive aprescription refill date related to the at least one eligibility record;and storing the prescription refill date in the eligibility record. 2.The method of claim 1, further comprising the steps of: if the step oflooking-up the at least a portion of the prescription token is failsbecause the at least one eligibility record is not in the eligibilitydatabase, prior to the step of retrieving the at least one eligibilityrecord, generating at least one eligibility record by the eligibilitydatabase based on the prescription token.
 3. The method of claim 1,wherein the step of updating comprises the step of processing theeligibility update notification by the benefit processor to revise theeligibility record.
 4. The method of claim 2, wherein the coveragebenefit is selected from the group consisting of: an insured coverageand a non-insured coverage; and further comprising the steps of: if aninsured coverage is the coverage benefit, determining by the pharmacygateway a first discount per the coverage benefit and the discountcoupon, for the drug prescription; and if a non-insured coverage is thecoverage benefit, determining by the pharmacy gateway a second discountper solely the discount coupon, for the drug prescription.
 5. The methodof claim 4, further comprising the steps of: wherein the eligibilitydatabase comprises a plurality of eligibility records, and each of theeligibility records of the plurality, respectively, comprise theprescription drug identity, the drug patient identity, the prescriptionrefill date, and the cell number relationally linked to the drug patientidentity; filtering the plurality of the eligibility records of theeligibility database at a date in time, based on the date in time andrelation to the prescription refill date of each of the eligibilityrecords; retrieving a subset of the plurality, each of the eligibilityrecords of the subset, respectively, comprise the prescription drugidentity, the prescription refill date relative to the date in time, andthe cell number relationally linked to the respective drug patientidentity and the prescription drug identity; looking-up the prescriptiondrug identity of the subset in the discount database to obtain adiscount coupon for each respective one of the prescription drugidentity of the subset; retrieving a respective one of the discountcoupon for each respective one of the prescription drug identity of thesubset; sending the respective one of the discount coupon to the cellnumber relationally linked to the respective drug patient identity andthe respective drug identity in the subset of the eligibility records;repeating the step of sending the respective one of the discount couponfor respective ones of the cell number of each of the eligibilityrecords of the subset; repeating, for all of the respective ones of theprescription drug identity, the steps of retrieving a subset, looking-upthe prescription drug identity, retrieving the discount coupon, andsending the discount coupon.
 6. A system for delivering a prescriptiondrug discount via a cellular message of a carrier network, comprising: aprescription script; a cell phone relationally connected to theprescription script, comprising: a processor; a radio connected to theprocessor; a phone number communicatively accessible on the carriernetwork; a prescription token of the cell phone communicated by theradio of the cell phone on the carrier network; an output interface ofthe cell phone connected to the processor; a server computercommunicatively connected to the cell phone via the carrier network, toreceive the prescription token; an eligibility database and a discountdatabase of the server computer, the server computer controls theeligibility database and the discount database in response to receivingthe prescription token; a discount coupon of the discount database,communicated by the server computer to the cell phone at the phonenumber via the carrier network, in response to receiving theprescription token; a pharmacy gateway communicatively connected to thecell phone, to receive the discount coupon from the cell phone and theprescription script; a benefit processor communicatively connected tothe pharmacy gateway and the server computer, comprising: a database; abenefit artifact of the database relationally associated to the discountcoupon and the prescription script; a first communicator connected tothe benefit artifact, for communicating the benefit artifact to thepharmacy gateway; and a second communicator connected to the benefitartifact, for communicating the benefit artifact to the server computer;wherein the server computer updates the eligibility database in responseto receiving the benefit artifact from the second communicator of thebenefit processor.
 7. The system of claim 6, further comprising: afollow-up coupon of the discount database, communicated by the servercomputer to the cell phone at the phone number via the carrier network,in response to receiving the prescription token.
 8. The system of claim7, further comprising: a memory of the cell phone connected to the radioand the processor; wherein the follow-up coupon is stored in the memoryin response to receiving the follow-up coupon by the cell phone.